- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.27 / $24.46 / $142.12
| Facility | | $8.27 | $24.46 | $142.12 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $7.79 / $8.27 / $9.30
| Professional | | $7.79 | $8.27 | $9.30 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $8.15 / $21.68 / $100.30
| Facility | | $8.15 | $21.68 | $100.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.25 / $8.93 / $21.75
| Professional | | $5.25 | $8.93 | $21.75 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $15.92 / $25.40 / $44.40
| Facility | | $15.92 | $25.40 | $44.40 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.39 / $8.39 / $11.12
| Professional | | $8.39 | $8.39 | $11.12 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $6.24 / $13.26 / $30.52
| Facility | | $6.24 | $13.26 | $30.52 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $5.41 / $9.61 / $14.92
| Professional | | $5.41 | $9.61 | $14.92 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $39.34 / $3,472.00 / $9,239.00
| Facility | | $39.34 | $3,472.00 | $9,239.00 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $13.07 / $13.07 / $15.38
| Professional | | $13.07 | $13.07 | $15.38 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $8.93 / $12.38 / $33.22
| Professional | | $8.93 | $12.38 | $33.22 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $18.82 / $22.64 / $38.42
| Facility | | $18.82 | $22.64 | $38.42 |
- Facility/Professional
- Facility
- Modifier
- Low / Median / High Price
- $21.68 / $100.30 / $100.30
| Facility | | $21.68 | $100.30 | $100.30 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.29 / $5.36 / $18.35
| Professional | | $4.29 | $5.36 | $18.35 |
- Facility/Professional
- Professional
- Modifier
- Low / Median / High Price
- $4.43 / $5.36 / $18.35
| Professional | | $4.43 | $5.36 | $18.35 |